Active NPI
Park City Imaging, Inc.
- Diagnostic Radiology Physician
- Park City, UT
National Provider Identifier
1205024593
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- PARK CITY IMAGING, INC.
- Practice address
- 1850 Sidewinder Dr
#410
Park City, UT 84060-7471 - Phone
- (435) 615-0250
- Fax
- (435) 615-0252
- NPI assigned
- Oct 11, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- John C. Olson, MD
- Title
- Medical Director
- Phone
- (435) 615-0253
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | Primary |
Addresses
Primary practice location
1850 Sidewinder Dr
#410
Park City, UT 84060-7471
Mailing address
1850 Sidewinder Dr
#410
Park City, UT 84060-7471
Phone (435) 615-0250
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Diagnostic Radiology Physician
- Heber City, UT
- NPI 1689625097
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192060800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1192060800000",
"number": "1205024593",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1850 SIDEWINDER DR",
"address_2": "#410",
"city": "PARK CITY",
"state": "UT",
"postal_code": "840607471",
"telephone_number": "435-615-0250",
"fax_number": "435-615-0252"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1850 SIDEWINDER DR",
"address_2": "#410",
"city": "PARK CITY",
"state": "UT",
"postal_code": "840607471",
"telephone_number": "435-615-0250",
"fax_number": "435-615-0252"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PARK CITY IMAGING, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-11",
"last_updated": "2007-10-11",
"status": "A",
"authorized_official_last_name": "OLSON",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "C.",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "435-615-0253",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Park City, UT
- Park City Dermatology. Co (Park City Dermatology)
- Park City Endodontics LLC
- Park City Fire Service District (Park City Ambulance)
- Park City Gynecology, LLC
- Park City Healthcare, PC (Park City Clinic)
- Park City Internal Medicine - Pediatrics, LC
- Park City Market Inc (The Market Pharmacy)
- Park City Medical Center
- Park City PDC PLLC (Snow Country Dental Care)
- Park City Pediatric Dentistry
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.